Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.01 / $523.04 / $14,482.00	Facility		$181.01	$523.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $241.35 / $435.43	Professional		$160.47	$241.35	$435.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.29 / $489.70 / $1,417.81	Professional		$212.29	$489.70	$1,417.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.84 / $789.77 / $1,211.53	Facility		$675.84	$789.77	$1,211.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.94 / $525.44 / $1,048.08	Professional		$224.94	$525.44	$1,048.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $274.42 / $488.00	Facility		$164.45	$274.42	$488.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $279.76 / $2,781.00	Facility		$164.45	$279.76	$2,781.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $910.38 / $1,868.00	Professional		$275.00	$910.38	$1,868.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $188.51 / $511.19	Professional		$32.22	$188.51	$511.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $274.42 / $488.00	Facility		$164.45	$274.42	$488.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $577.36 / $859.65	Professional		$356.63	$577.36	$859.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $1,135.14 / $2,165.76	Facility		$271.49	$1,135.14	$2,165.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $1,072.22 / $1,868.00	Professional		$262.37	$1,072.22	$1,868.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $816.05 / $1,279.71	Professional		$641.85	$816.05	$1,279.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $529.66 / $1,172.03	Professional		$266.98	$529.66	$1,172.03